Manifestations of Cor Pulmonale

Written by Li Tao
Pulmonology
Updated on September 21, 2024
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Cor pulmonale refers to a disease characterized by changes in heart structure and function due to increased pulmonary vascular resistance caused by pathological conditions of the bronchi, lungs, thoracic cage, or pulmonary vessels, leading to pulmonary arterial hypertension. This condition is collectively known as cor pulmonale. The clinical manifestations of cor pulmonale generally develop slowly. Clinically, in addition to pulmonary and pleural symptoms, there gradually appear signs of pulmonary cardiac failure and damage to other organs. Common symptoms include coughing, expectoration, palpitations, dyspnea, fatigue, decreased endurance to physical activity. In the decompensated stage, symptoms such as worsening dyspnea, headaches, insomnia, decreased appetite, and even some signs of right heart failure like palpitations, poor appetite, abdominal bloating, nausea, and swelling of the lower limbs may occur.

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Written by Li Tao
Pulmonology
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Is pulmonary heart disease serious?

Cor pulmonale refers to the disease characterized by changes in the structure and function of the right ventricle due to increased pressure resistance in the pulmonary vessels, caused by abnormalities in the bronchopulmonary tissue, thoracic cage, pulmonary vessels, etc., ultimately leading to pulmonary arterial hypertension. Common symptoms of cor pulmonale observed clinically include coughing, production of phlegm, shortness of breath, chest tightness after activity, and difficulty breathing. Some individuals may experience respiratory failure and symptoms of heart failure. The severity of cor pulmonale depends firstly on the underlying causes of the disease. For instance, conditions like pulmonary embolism and pulmonary hypertension generally have a poorer and more serious prognosis. Secondly, extensive lung infections leading to a loss of cardiopulmonary compensation, resulting in respiratory failure and heart failure, typically indicate a more severe condition.

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Written by Yan Xin Liang
Pediatrics
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Is congenital heart disease heart cancer?

Congenital heart disease primarily refers to the abnormal development of the heart and blood vessels during the fetal period, leading to cardiovascular malformations. It is the most common type of heart disease in children, with an incidence rate of about 6-8 per 1,000 live births. Generally, congenital heart disease refers to malformations during the development of the fetal heart. The exact causes of this condition are still not completely understood. However, actively preventing viral infectious diseases in the early stages of pregnancy and avoiding certain high-risk factors associated with the disease play a significant role in preventing congenital heart disease in children. It should be noted that congenital heart disease represents malformations in the development of the heart and is not a form of heart cancer, hence there is no terminology that describes it as such.

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Written by Zhang Yue Mei
Cardiology
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Can people with heart disease drink alcohol?

Patients with heart disease should avoid drinking alcohol, especially those with severe conditions such as heart failure and arrhythmias. Drinking can excite the sympathetic nervous system, increasing heart rate and triggering episodes of arrhythmia, and exacerbating heart failure. Heart disease patients typically require medication, and consuming alcohol during treatment can cause chemical changes in some medications, affecting their effectiveness. Both alcohol and medications need to be detoxified in the liver, so drinking while on medication can increase the liver's burden, potentially leading to long-term liver damage.

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Written by Chen Tian Hua
Cardiology
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Can heart disease be inherited?

Whether heart disease is hereditary depends on the specific type of heart disease. Some heart conditions are hereditary diseases, such as hypertrophic cardiomyopathy, which is an autosomal dominant inherited disease and can be inherited. Some heart diseases are related to genetics, such as coronary heart disease and dilated cardiomyopathy. These genetically related diseases significantly increase the risk of their offspring developing these conditions, but it does not necessarily mean that they will develop the disease, as environmental factors also play a crucial role. Of course, some heart diseases are not genetic, such as most congenital heart diseases, heart valve diseases, infective endocarditis, and myocarditis, which are not related to genetics.

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Written by Li Hai Wen
Cardiology
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How to prevent heart disease

As the aging society approaches, the incidence of heart disease is gradually increasing. So, how can we effectively prevent heart disease? Generally, to prevent heart disease, you can start from the following aspects: First, maintain good living habits, adhere to a low-salt, low-fat diet, eat less spicy and greasy food, and persist in exercising. Maintaining good living habits is very important. Second, control the "three highs" such as high blood lipids, high blood sugar, or high blood pressure. It is necessary to undergo standardized treatment under the guidance of a doctor to control blood lipids and blood sugar.